| NPI | 1659898849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042020) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 042020) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-06-16 |