| NPI | 1467607366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22691) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT870936) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MD 22691) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2018-12-19 |