| NPI | 1851465785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10110-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-014276) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-08-06 |