| NPI | 1144554833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019005) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IN 05009826A) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2023-07-26 |