| NPI | 1336333517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 026499) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 33157) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2015-09-21 |