| NPI | 1447656061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 20238) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT870110) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |