| NPI | 1326296252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: RI PT00676) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 18405) |
| 225100000X Physical Therapist (Licence: TX 1303200) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2018-05-31 |