| NPI | 1700927399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA AH 5141-PT) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305203586) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 017164-1) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-08-16 |