| NPI | 1932309374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 04986) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA 0746) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1204179) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2013-02-15 |