| NPI | 1033371943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0011721) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8955) |
| 225100000X Physical Therapist (Licence: IA 004226) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-08-22 |