| NPI | 1972781573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 22023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22023) |
| 225100000X Physical Therapist (Licence: MA 18226) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2018-03-17 |