| NPI | 1184943300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015197) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2024-11-12 |