| NPI | 1952634479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26258) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT26258) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2019-03-13 |