| NPI | 1649241779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 7981) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AL PTH4618) |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2015-12-01 |