| NPI | 1518084516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 4114-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-005600) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |