| NPI | 1043338288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25044) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1064640) |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-12-21 |