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 |