| NPI | 1669501607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 5422) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 010791-1) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-08-30 |