| NPI | 1306458682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.025328) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302427) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-02-12 |