| NPI | 1336891183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT015743) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT015743) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2025-05-28 |