| NPI | 1841488301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29736) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist (Licence: NY 028385-1) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2022-07-21 |