| NPI | 1407252935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.008434) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 01350) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |