| NPI | 1750458832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: GA PT006506) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA PT006506) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-11-02 |