| NPI | 1205992914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014622) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2011-04-20 |