| NPI | 1992054738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012405A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501300653) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2019-04-30 |