| NPI | 1063576791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 07814) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2000173844) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2016-03-30 |