| NPI | 1629137724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 0013231) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 25004) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-09-19 |