| NPI | 1518371913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY P92966) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2021-04-02 |