| NPI | 1740349679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.020720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014030090) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-12-12 |