| NPI | 1962830760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011340A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10500) |
| 225100000X Physical Therapist (Licence: IL 070.020317) | |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2014-05-02 |