| NPI | 1003205493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021152) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011595A) |
| 225100000X Physical Therapist (Licence: NY 037684) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |