| NPI | 1831316991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 6940) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070013583) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-01-08 |