| NPI | 1538314489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT711) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 16339) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305001401) | |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |