| NPI | 1366969685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 046933) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0015101) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-08-14 |