| NPI | 1922216019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 016080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 4628) |
| 225100000X Physical Therapist (Licence: CO 9097) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-11-30 |