| NPI | 1295007581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: IN 05002806A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017977) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2023-03-13 |