| NPI | 1013304138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036485) |
| 225100000X Physical Therapist (Licence: MI 5501017158) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |