| NPI | 1043752165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OH 18076) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12684) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2020-01-03 |