| NPI | 1376140608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305213408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872704) |
| 225100000X Physical Therapist (Licence: VA 2305213408) | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-12-03 |