| NPI | 1760668560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 032605) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 17696) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2024-11-25 |