| NPI | 1528371671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295106) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 030484) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2022-12-06 |