| NPI | 1194912071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2014001820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020459) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2016-01-22 |