| NPI | 1760798409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010839) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070017994) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2016-07-11 |