| NPI | 1730314279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.014171) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 3100) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |