| NPI | 1457880676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 039566) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CT 10756) |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-04-13 |