| NPI | 1275608275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT13130) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 13130) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2026-04-02 |