| NPI | 1336364801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305004404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305004404) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-03-05 |