| NPI | 1932759800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 044710) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044710) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-06-13 |