| NPI | 1255401857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 0564) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013728) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-05-16 |