| NPI | 1093752743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: HI 2045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT21585) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT21585) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-07-17 |