| NPI | 1164401709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05002124A) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05002124A) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2016-01-29 |