| NPI | 1518373489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NJ 40QA00741800) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NY 018258) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-05-05 |