| NPI | 1992029540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.016928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1420) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |