| NPI | 1447543046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 3773) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MA 19564) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2019-05-14 |