| NPI | 1356889992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TN 7613) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: MS PT5857) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |