| NPI | 1558827303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: MO 2019002589) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019002589) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2024-10-08 |