| NPI | 1720633688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 9818) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2025-02-27 |