| NPI | 1174719116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 5638) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 5068) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2025-07-21 |