| NPI | 1346489184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 11002) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT22763) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-12-01 |