| NPI | 1083853949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT17800) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 17800) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2015-03-09 |