| NPI | 1982981684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 40069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021708) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2016-02-02 |