| NPI | 1841564267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: FL 26906) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: FL 26906) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |