| NPI | 1316183015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18668) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016189) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2023-01-30 |