| NPI | 1508017757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017509) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205670) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2012-06-25 |