| NPI | 1699938126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.005147) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 736) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |