| NPI | 1649727223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 4755) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-03-24 |