| NPI | 1942568423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 25167) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016959) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |