| NPI | 1225600232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014565) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: VA 2305213891) |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2023-08-03 |