| NPI | 1124276571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT24176) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 027917-1) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |