| NPI | 1205008281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2006005296) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 1103578) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2008-03-30 |