| NPI | 1801206701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0017132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.020446) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.020446) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2021-01-06 |