| NPI | 1699795393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12761-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-012786) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-12-17 |