| NPI | 1194989384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TN PT0000004719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000004719) |
| 225100000X Physical Therapist (Licence: VA 2305206123) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305206123) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2015-01-12 |