| NPI | 1518523653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 026358-1) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 7467) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |