| NPI | 1649458175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.014940) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: IL 070.014940) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2016-01-25 |