| NPI | 1407301039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT024877) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DE J1-0003426) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |