| NPI | 1821362955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.017674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6740) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |