| NPI | 1144383415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.013610) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 17683) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-06-04 |