| NPI | 1962610394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008325A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010047) |
| 225100000X Physical Therapist (Licence: CA 32703) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |