| NPI | 1346378916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11022) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 11022) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC 11022) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-06-07 |