| NPI | 1265635684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-4034) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1171893) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: AK 2568) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2025-03-23 |