| NPI | 1902160161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.014795) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2007005524) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |