| NPI | 1043571946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017807) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031234) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |