| NPI | 1184879116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209067) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-016791) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2014-10-22 |