| NPI | 1700017084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021367) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PT 10502) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2015-08-24 |