| NPI | 1194343350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ LPT-31410) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-31410) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-03-04 |