| NPI | 1235411679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT26701) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 62341) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2022-06-10 |