| NPI | 1720303472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 032045-1) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT23700) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2019-10-17 |