| NPI | 1891858817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 000831) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: GA PT000831) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-09 |