| NPI | 1679284053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 049762-01) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2024-03-29 |