| NPI | 1851669410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 034121) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 10390) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |