| NPI | 1164464335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 23813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3200) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 23813) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |