| NPI | 1265057285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 047425-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10155) |
| 225100000X Physical Therapist (Licence: AK 157257) | |
| 225100000X Physical Therapist (Licence: NY 047425) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2025-08-17 |