| NPI | 1891274320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: WY PT-1809) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 10826991-2401) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: ID PT-5559) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |