| NPI | 1710156005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: CA PT19140) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: CA PT19140) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |