| NPI | 1073751210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NC 11782) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: SC 5871) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2015-01-06 |