| NPI | 1154575769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024386) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NY 024386) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |