| NPI | 1194178921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: DC PT871943) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: VA 2305210049) |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2016-07-17 |