| NPI | 1871129213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01794100) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT027816) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |