| NPI | 1043429632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WI 2661-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 2661-024) |
| 225100000X Physical Therapist (Licence: MN 1015) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-09-20 |