| NPI | 1700979606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SD 1151) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1151) |
| 225100000X Physical Therapist (Licence: MN 7066) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-11-22 |