| NPI | 1447586599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2526) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NC 2526) |
| Enumeration Date | 2009-10-25 |
| Last Update Date | 2020-10-26 |