| NPI | 1124457114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013028464) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020387) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |