| NPI | 1073853420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NH 3681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19151) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |