| NPI | 1619460920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05012877A) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL FL30398) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |