| NPI | 1770728800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-020700) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 029247) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2017-01-25 |