| NPI | 1295896447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070014223) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1146559) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-12-28 |