| NPI | 1871655407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: HI 1952) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT00009438) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-11-19 |