| NPI | 1891877502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 1576) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 5390) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-02-10 |