| NPI | 1184837460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 8799) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01224900) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-06-04 |