| NPI | 1396813341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT870370) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 23620) |
| 225100000X Physical Therapist (Licence: OR 06713) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-04-19 |