| NPI | 1932817582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2615) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: ND 2615) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-08-16 |