| NPI | 1164610572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-016061) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009833A) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2017-06-15 |