| NPI | 1023044872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-012930) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-02-10 |