| NPI | 1356654800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-015546) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10660-24) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-12-01 |