| NPI | 1841704384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P21655) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 293920) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2024-09-27 |