| NPI | 1114088077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA 0006382) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 32355) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-07-21 |