| NPI | 1558568105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.014142) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.014142) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2013-03-25 |