| NPI | 1588852099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10457-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.014662) |
| 225100000X Physical Therapist (Licence: CO 9897) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2016-01-21 |