| NPI | 1861647737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 025005-1) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05005002A) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |