| NPI | 1285833046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-014699) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 04723) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2013-05-29 |