| NPI | 1578059705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008640) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0016349) |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-11-28 |