| NPI | 1609006899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010042) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017239) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2016-12-30 |