| NPI | 1053526152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 33400) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05001208A) |
| 225100000X Physical Therapist (Licence: FL 33400) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-04-02 |