| NPI | 1124410519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NM 4594) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 4594) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2021-01-01 |