| NPI | 1205101409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 01905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.009192) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |