| NPI | 1629324231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.003311) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO R0658) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |