| NPI | 1285966416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017588) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014491) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |