| NPI | 1003189499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010575A) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.018485) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2015-07-07 |