| NPI | 1962441790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014542) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-04-03 |