| NPI | 1124163274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022155-1) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 022155) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 022155-1) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-01-27 |