| NPI | 1609284926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.007624) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009877A) |
| 225100000X Physical Therapist (Licence: FL PT26273) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |