| NPI | 1386899565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: DC PT870401) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: MD 21003) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |