| NPI | 1699965608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.015994) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17873) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-04-30 |