| NPI | 1356614242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 8301) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018923) |
| 225100000X Physical Therapist (Licence: SC 8301) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070018923) | |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2025-01-06 |