| NPI | 1740429687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A140153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 6628432) |
| 208000000X Pediatrics (Licence: NV 17289) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2017-10-25 |