| NPI | 1295045540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 25897) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 25897) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2018-04-12 |