| NPI | 1316081466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AK PT1251) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 21708) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |