| NPI | 1417209834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 13886) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 6871) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2014-08-21 |