| NPI | 1043335979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012436) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: WV 2126) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-06-30 |