| NPI | 1134488513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.010405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT37733) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-09-06 |