| NPI | 1205066263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19208) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2013-05-21 |