| NPI | 1548248693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26798) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: FL PT26798) |
| Enumeration Date | 2006-01-07 |
| Last Update Date | 2016-10-19 |