| NPI | 1023332822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CT 009183) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 032135-1) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2015-02-20 |