| NPI | 1568551851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025290) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 025290-1) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-05-30 |