| NPI | 1720403363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20817) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-20 |