| NPI | 1477550101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OK 2077) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 2077) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-07-29 |