NPI | 1225154735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT23035) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 23035) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2017-01-29 |