| NPI | 1215234562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026916) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |