| NPI | 1174299341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11952) |
| 225100000X Physical Therapist (Licence: TX 1350248) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-08-14 |