| NPI | 1114203338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33374) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 33374) |
| 225100000X Physical Therapist (Licence: NY 032889) | |
| 225100000X Physical Therapist (Licence: CA 37459) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2023-03-17 |