| NPI | 1679889984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 9734) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA 010095) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2022-05-26 |