| NPI | 1467755074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305207009) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DC 871443) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2018-09-30 |