| NPI | 1639495930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022281) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MI 5501005988) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2018-06-04 |