| NPI | 1275766446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT22362) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009674) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2016-08-30 |