| NPI | 1336708973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0017657) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: GA PT01369) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2021-09-14 |