| NPI | 1619228921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011285A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.008167) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2016-06-15 |