| NPI | 1497815872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070010832) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 4358) |
| 225100000X Physical Therapist (Licence: CO 9264) | |
| 225100000X Physical Therapist (Licence: MT 2013) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2012-02-11 |