| NPI | 1982202818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012035A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30282) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-02-25 |