| NPI | 1265730329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1201220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.017856) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |