| NPI | 1689112849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0014128) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 9147) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |