| NPI | 1669742045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P13494) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070020358) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2014-11-04 |