| NPI | 1184759219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070002753) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 070002753) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |