| NPI | 1386984235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 5249) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NY 033553) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2024-03-29 |