| NPI | 1346519246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070014609) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: WI 11670-024) |
| 225100000X Physical Therapist (Licence: CA 291867) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2016-10-04 |