| NPI | 1942444567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-015984) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2012-07-25 |