| NPI | 1649672999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: IL 070004116) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: WI 269624) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |