| NPI | 1982917803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 62030931) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 10745) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC P14527) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2021-08-17 |