| NPI | 1326296781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.016512) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11682-024) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2012-11-27 |