| NPI | 1609576974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22062) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NC P22062) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC P22062) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |