| NPI | 1801933304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.011126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-011126) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-08-12 |