| NPI | 1528243235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6188) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 6188) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2022-03-07 |