| NPI | 1851732218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: FL OT 9943) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: FL PT 20437) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |