| NPI | 1841615168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC p14733) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1240853) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2019-05-13 |