| NPI | 1447647136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT871358) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 19212) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |