| NPI | 1467562926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070-016066) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 112199) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-02-24 |