| NPI | 1790939049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029338-01) |
| 225100000X Physical Therapist (Licence: CA PT27778) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-09-19 |