| NPI | 1497235667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PE210089) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10418) |
| 225100000X Physical Therapist (Licence: TX 1310077) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2022-10-31 |