| NPI | 1689007452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: MN 10995) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: CA 40379) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2019-04-24 |