| NPI | 1639595820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.020467) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: DC 870868) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-21 |