| NPI | 1932250016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 6818) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 10792) |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2019-12-26 |