| NPI | 1780029314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.019664) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034600-1) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |