| NPI | 1639629181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 40963) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CA 40963) |
| 225100000X Physical Therapist (Licence: CA 40963) | |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2024-03-28 |