| NPI | 1952672503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2001019600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019889) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2018-05-29 |