| NPI | 1033119359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2004019501) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 11-03399) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |