| NPI | 1427130012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 117808) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 1102652) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |