| NPI | 1992056915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010771A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03977) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |