| NPI | 1164658878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 225100000x) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 2251p0200x) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |