| NPI | 1023434867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 29113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019974) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2015-05-13 |