| NPI | 1689008765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01504100) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2018-02-13 |