| NPI | 1598044695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01467500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01467500) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: DE J1-0002901) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT021269) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2019-05-17 |