| NPI | 1336531391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210424) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.021165) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2018-07-30 |