| NPI | 1639420490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018887) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0011265) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |