| NPI | 1114273588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-001404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10920-24) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2013-10-09 |