| NPI | 1437627874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 043712) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY p13256) |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2019-10-28 |