| NPI | 1093899502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NV 0688) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 16414) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-09 |