| NPI | 1033604251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23567) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01616900) |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2020-04-06 |