| NPI | 1588065957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33331) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 038058-1) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT33331) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT33331) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2020-04-22 |