| NPI | 1730208471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70014759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16877) |
| 225100000X Physical Therapist (Licence: FL 22378) | |
| 225100000X Physical Therapist (Licence: MI 5501012822) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-03-27 |