| NPI | 1912337445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 33651) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019719) |
| 225100000X Physical Therapist (Licence: MI 5501016580) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |