| NPI | 1386630176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT14827) |
| 225100000X Physical Therapist (Licence: NY 0978925) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT14827) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2022-01-28 |