| NPI | 1093836595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 8208) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-12-17 |