| NPI | 1457400970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MT 11243) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 13006) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-12-14 |