| NPI | 1548695919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 053588) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2025-05-12 |