| NPI | 1669635603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.15679) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870897) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2009-05-08 |