| NPI | 1710315841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.022104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 14423) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2016-08-09 |