| NPI | 1700854866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070-005569) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-12-13 |