| NPI | 1881799856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007156A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-013109) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-06-25 |