| NPI | 1194072983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018925) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032667) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |