| NPI | 1861615312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070007360) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2001006018) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |