| NPI | 1245468289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 002458) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ QAO6956) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |