| NPI | 1972730786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11184024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.014844) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |