| NPI | 1457809337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AR PT4119) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2014026924) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2022-07-21 |