| NPI | 1124208798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT7732) |
| 222Q00000X Developmental Therapist (Licence: FL PT20436) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2015-12-03 |