| NPI | 1447497706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 7987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021964) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 021964) | |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2020-04-03 |