NPI | 1386899912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 016874-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 016874-1) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2022-07-21 |