| NPI | 1134389398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT870190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20522) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-11-06 |