| NPI | 1740330968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT20199) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-01-31 |