| NPI | 1497989750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18621) |
| 225100000X Physical Therapist (Licence: NY 31184) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MD 23846) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2016-05-25 |