| NPI | 1760804876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-020350) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2017-02-06 |