| NPI | 1487840112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070011482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011482) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2008-01-28 |