| NPI | 1881707305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT1944) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT1944) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT0001944) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-01-13 |