| NPI | 1568903078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32725) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NV 3296) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-09-20 |