| NPI | 1588014872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 01022) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.016091) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |