| NPI | 1558390286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070-014071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1167743) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-10-10 |