| NPI | 1295040897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: SC 6262) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2018-04-17 |