| NPI | 1861732596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P11495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P11495) |
| 2251N0400X Physical Therapist, Neurology (Licence: NC P11495) | |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2013-05-24 |