| NPI | 1568605590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009453) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2012-08-15 |