| NPI | 1831121839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32702) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-10-12 |