| NPI | 1033346481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022702) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 041470) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2022-03-14 |