| NPI | 1538319306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05009676A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009676A) |
| 225100000X Physical Therapist (Licence: KY 005258) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2009-01-05 |