| NPI | 1144546391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1189898) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 62036921) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2019-02-26 |