| NPI | 1871618249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 33529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33529) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-05-19 |