| NPI | 1174833313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 39751) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 031330-1) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2016-11-21 |