| NPI | 1639608375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT32552) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305003246) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |