| NPI | 1255512497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NC P14620) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NC P14620) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2014-08-01 |