| NPI | 1770615163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT010097L) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT010097L) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-12-05 |