| NPI | 1306813670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070013159) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WI 9949-024) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2021-02-19 |