| NPI | 1992034896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2009035682) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017473) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |