| NPI | 1285893883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070011745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2528) |
| 225100000X Physical Therapist (Licence: MN 7659) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2009-03-02 |