| NPI | 1942723481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT027804) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P17087) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2021-09-22 |