| NPI | 1437398419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-016903) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4043) |
| 225100000X Physical Therapist (Licence: SC 6540) | |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2011-10-17 |