| NPI | 1760772297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-018865) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1194340) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2012-03-28 |