| NPI | 1912964099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 3495) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 10730) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-09 |