| NPI | 1083046171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30522) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010898A) |
| 222Q00000X Developmental Therapist (Licence: FL PT30522) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2016-03-03 |