| NPI | 1437250263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT013772) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 4021) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-01-16 |