| NPI | 1215111521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11622) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070021130) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-05-07 |