| NPI | 1831331735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2008031373) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2008031373) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2011-01-06 |