| NPI | 1003413477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025307) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 15170-24) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |