| NPI | 1558413708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT24506) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT2145) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT24506) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |