| NPI | 1609058502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0012968) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 029150-01) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2024-04-19 |