| NPI | 1548665433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020508) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |