| 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 |