| NPI | 1508838194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02217) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014508) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-03-01 |