| NPI | 1942240692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: IL 070-018070) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: IA 02120) |
| 2251P0200X Physical Therapist Pediatrics (Licence: WI 11006-24) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-02-29 |