| NPI | 1851786206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 293253) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: ID 4063) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2018-01-30 |