| NPI | 1912188343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070018821) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 18002) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2013-11-26 |