| NPI | 1497292080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021854) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10696) |
| 225100000X Physical Therapist (Licence: NY 0375081) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-26 |