| NPI | 1225071590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 007561) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 028585) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-06-30 |