| NPI | 1306812375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT18758) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT18758) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT18758) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-02-26 |