| NPI | 1932793460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 28159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028974) |
| 225100000X Physical Therapist (Licence: WV 004259) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |