| NPI | 1427356583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.018060) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031816) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |