| NPI | 1114259785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 13342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8930) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2017-10-24 |