| NPI | 1942817663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT36337) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PT36337) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |