| NPI | 1467471359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070016093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501010358) |
| 225100000X Physical Therapist (Licence: MO 2008000985) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-08-07 |