| NPI | 1871561365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-012419) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-11-24 |