| NPI | 1487256483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: CA PT299191) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |