| NPI | 1700285020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019475) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-12-02 |