| NPI | 1528378171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 8732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8732) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 8732) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2013-11-29 |