| NPI | 1215268156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20883) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: IL 070.016993) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2020-07-21 |