| NPI | 1598842049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P14569) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011592) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-21 |