| NPI | 1336557800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031850-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.020465) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |