| NPI | 1962637199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009641A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205862) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2018-04-06 |