| NPI | 1437985090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 39613) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 14497) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |