| NPI | 1043007016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WV 004839) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-09-22 |