| NPI | 1457458226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IA 4607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5220) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-10-14 |