| NPI | 1922395342 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT3368) | 
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AR 3368) | 
| Enumeration Date | 2011-07-06 | 
| Last Update Date | 2025-05-21 |