| NPI | 1336396993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT020115) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 023593-1) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2024-01-25 |