| NPI | 1578506689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-014780) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03770) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |