| NPI | 1952558785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: HI 3611) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015123) |
| 225100000X Physical Therapist (Licence: HI 3611) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2013-09-09 |