| NPI | 1659865038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05013028A) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 99086817A) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-08-02 |