| NPI | 1407911381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP039211T-MD) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10015) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC 9900) | |
| 225100000X Physical Therapist (Licence: NC 9900) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: SC 10015) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2025-01-15 |