| NPI | 1154884666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT015837) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2022-04-25 |