| NPI | 1780732883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: ND 1164) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 6605) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |