| NPI | 1669545489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70014729) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10390-24) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |