| NPI | 1154944874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 5266) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0016956) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2023-05-04 |