| NPI | 1366737140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P14965) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NE 2969) |
| 225100000X Physical Therapist (Licence: NC P14965) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2014-09-08 |