| NPI | 1831468743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004904) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-019072) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2012-05-01 |