| NPI | 1992983431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT2765) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.013385) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2011-12-01 |