| NPI | 1851553895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 31373) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5545) |
| 225100000X Physical Therapist (Licence: WA 60003247) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT022310) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-02-05 |