| NPI | 1013136472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 1886) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 2294) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-09 |