| NPI | 1528503299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033743) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 033743) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2018-09-05 |