| NPI | 1619359684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NE 3458) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NE 3458) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |