| NPI | 1588914246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2008035005) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070002978) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |