| NPI | 1073793477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT23701) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23701) |
| 222Q00000X Developmental Therapist (Licence: FL PT23701) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2020-02-21 |