| NPI | 1407139207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2824) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IL 070017773) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2018-03-17 |