| NPI | 1114303682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: IN 05011823A) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-07-31 |