| NPI | 1740592963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 10367) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2018-12-19 |