| NPI | 1336349950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 3168) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT3168) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 3168) | |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2023-08-01 |