| NPI | 1306145115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501302887) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.017461) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-09-18 |