| NPI | 1477881704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0307841) |
| 225100000X Physical Therapist (Licence: CT 008679) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-12-23 |