| NPI | 1417373630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019766) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2015-10-22 |