| NPI | 1689794588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT019652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019402-1) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-01-02 |