| NPI | 1689947814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 021528) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 021528) |
| Enumeration Date | 2012-02-19 |
| Last Update Date | 2012-02-19 |