NPI | 1023160694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.013454) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.013454) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2009-02-04 |