| NPI | 1740734094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT016703) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DE J1-0001770) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |