| NPI | 1548211253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 11958) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT23636) |
| 225100000X Physical Therapist (Licence: CA 23636) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-02-02 |