| NPI | 1356792238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2016003544) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-08-16 |