| NPI | 1285940882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 033012) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033012) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2024-03-15 |