| NPI | 1720090830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7357) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-06-26 |