| NPI | 1487702759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 807) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AR 807) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |