| NPI | 1467504134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: AR PT2920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT 2920) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-07-02 |