| NPI | 1053573410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1850) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NE 1850) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-03-17 |