| NPI | 1225168859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14095) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.013025) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-04-26 |