| NPI | 1588847388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017224) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 029323-1) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2018-09-11 |