| NPI | 1487927448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034534) |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2022-10-04 |