| NPI | 1952779332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NY 039574) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NY P99255) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-11-20 |