| NPI | 1629287156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.001947) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO R0191) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |