| NPI | 1487896312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27934) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 11760) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1193767) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2013-01-02 |