| NPI | 1902031883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 007330-1) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 007330-1) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |