| NPI | 1740699008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: IN 05005019A) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2024-02-14 |