| NPI | 1891934485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 18505) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 06944) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2012-07-31 |