| NPI | 1003144767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070012902) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2021-06-10 |