| NPI | 1013053263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03862) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015168) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |