| NPI | 1538193941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 11-02209) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MO RO157) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |