| NPI | 1548238595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03633) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-012700) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |