| NPI | 1639501851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010925A) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |