| NPI | 1598901274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: CA 22512) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 22512) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2024-11-24 |