| NPI | 1730437534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12050-24) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2016-02-02 |