| NPI | 1043314487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C000131) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC 7452) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-02-28 |