| NPI | 1528374527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NC P13619) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: SC 4412) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2013-01-20 |