| NPI | 1831494897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019556) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11649-24) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2017-03-25 |