| NPI | 1588875074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY P55105) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305206641) |
| 225100000X Physical Therapist (Licence: VA 2305206641) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2011-11-10 |