| NPI | 1932510419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CT 004617) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 016120-1) |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |