| NPI | 1982967188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 65553) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32168) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2026-09-21 |