| NPI | 1922434125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14479) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035683-1) |
| 225100000X Physical Therapist (Licence: CT 009706) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: NC 14479) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2022-10-03 |