| NPI | 1710389531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2007023162) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015541) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |