| NPI | 1881036598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305211459) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OH CP044148T) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2025-08-27 |