| NPI | 1588020366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 31059) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT 31059) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-06-19 |