| NPI | 1093931735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015804) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070013657) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-11-21 |