| NPI | 1275691263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT002244E) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-07-13 |