| NPI | 1942789383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: MS PT-7078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8993) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2021-05-18 |