| NPI | 1124066303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 29947) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: CA 29947) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-11-19 |