| NPI | 1114207305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P13842) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 032771) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2024-05-11 |