| NPI | 1023095650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-013521) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2002028046) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2008-06-23 |