| NPI | 1073060901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 042741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4829) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2019-05-02 |