| NPI | 1487698577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0258251) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 070015766) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-08-23 |