| NPI | 1295176899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18528) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT021704) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-07-09 |