| NPI | 1376694950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.013517) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 008338) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-09-28 |