| NPI | 1619016771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-017626) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 9649024) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-12-09 |