| NPI | 1043623622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.020398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036530) |
| 225100000X Physical Therapist (Licence: NM 4455) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |