| NPI | 1528368925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA 025882) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37075) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2017-03-09 |