| NPI | 1245567361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT872592) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01243700) |
| 225100000X Physical Therapist (Licence: DC PT872592) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 032014) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2022-08-24 |