| NPI | 1386928638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 14464) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 6490) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2026-03-26 |