| NPI | 1679824957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 013876) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |