| NPI | 1780695767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 7473) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070-002081) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-01-22 |