| NPI | 1043791742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34594) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC PT.9281) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2021-02-21 |