| NPI | 1699807149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 41549) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 009469-1) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2024-11-03 |