| NPI | 1528365103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015485) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2012-09-18 |