| NPI | 1164747283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT870549) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305204419) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-10-20 |