| NPI | 1396874244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305211032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211032) |
| 225100000X Physical Therapist (Licence: GA PT002083) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-07-21 |