| NPI | 1467852939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: AZ 10963) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: NV 667) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |