| NPI | 1215902465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-012481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004384) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |