| NPI | 1295084796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20931) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.14580) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2021-06-03 |