| NPI | 1891069167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13567) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NC P13567) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2013-01-29 |