| NPI | 1710200423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: IL 070.007220) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: IL 070.007220) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |