| NPI | 1760752893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.018854) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.004787) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-27 |