| NPI | 1902684699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT031587) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031587) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-07-26 |