| NPI | 1578718417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IA 004458) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DC 870375) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MD 21258) | |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2010-05-13 |