| NPI | 1043371974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: GA PT005740) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA PT005740) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-10-27 |