| NPI | 1043737281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2024004051) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041870) |
| 225100000X Physical Therapist (Licence: NC P19474) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2026-05-15 |