| NPI | 1134468499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14122) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P14122) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-07-15 |