| NPI | 1073812129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT33159) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 33159) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2018-09-06 |