| NPI | 1215065602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT10184) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 812051000) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-03-28 |