| NPI | 1598970501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC .9485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.005749) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: SC .9485) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2022-10-03 |