NPI | 1669676458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.014510) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.014510) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2011-04-26 |