| NPI | 1629291877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05008585A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008585A) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2017-09-13 |