| NPI | 1205245990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.019701) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2017-08-08 |