| NPI | 1659680791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018668) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11612-024) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2011-08-11 |