| NPI | 1285667246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4053) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-004384) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-04-10 |