| NPI | 1285961839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MT 2066PT) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 2066PT) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2014-02-27 |