| NPI | 1790235521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: GA PT013640) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: AL PTH8088) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2018-08-30 |