| NPI | 1003452855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: FL PT35472) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: PA PT028233) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2024-07-07 |