| NPI | 1669888921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012702) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12905) |
| 225100000X Physical Therapist (Licence: IA 004293) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2015-01-20 |