| NPI | 1962805374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011617A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11189) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 11189) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2024-08-21 |