| NPI | 1407060924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 2338024) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WI 2338-24) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-03-04 |