| NPI | 1952735110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020081) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-10-10 |