| NPI | 1740362151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: VT 0400002826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 0400002826) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-11-14 |