| NPI | 1447863097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305216908) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT014892) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2025-01-29 |