| NPI | 1942741327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 16847) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 16847) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2023-10-17 |