| NPI | 1689836215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 6115) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: SC 4103) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2017-01-19 |