| NPI | 1982956041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034680-1) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2016-05-18 |