| NPI | 1003961301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT015149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015149) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-02-17 |