| NPI | 1265566178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070003975) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist (Licence: IA 0712) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-12-09 |