| NPI | 1013428242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 21455) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MD 21455) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2022-12-12 |