| NPI | 1427146786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60118466) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT26591) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-01-17 |