| NPI | 1285002410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 62039584) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 62 P99305) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-11-22 |