| NPI | 1841442936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.015613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006032817) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-01-15 |