| NPI | 1932449089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 0318261) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2021-04-26 |