| NPI | 1003061359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NY 022234) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NY 022234) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2008-11-28 |