| NPI | 1487646196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012605) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05008842A) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2012-09-28 |