| NPI | 1093097081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NH 4305) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: ID PT-585) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2023-02-06 |