| NPI | 1295950335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 3297) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 16717) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-05-16 |