| NPI | 1396182598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.019783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 29043) |
| 225100000X Physical Therapist (Licence: IN 05011074A) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2015-01-22 |