| NPI | 1942462171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070024420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11035) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2019-07-23 |