| NPI | 1730329327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT012592L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT012592L) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2011-02-01 |