| NPI | 1619198264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 30839) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 021088) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-12-04 |