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 |