| NPI | 1396919643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020496) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013779) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2014-02-18 |