| NPI | 1568679546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010127A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.013438) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-02-10 |