| NPI | 1669610838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004280) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: IA 004280) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |