| NPI | 1346538576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT25857) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-09-04 |