| NPI | 1134518152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 29977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019858) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |