| NPI | 1215107776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017881) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18133) |
| 225100000X Physical Therapist (Licence: WI 11334-024) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2010-11-09 |