| NPI | 1972352052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA02020800) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 041499) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |