| NPI | 1922155043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: ND 980) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 6742) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2017-03-31 |