| NPI | 1184747552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 6784) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6784) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2024-10-08 |