| NPI | 1003449463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025710) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 1493024) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2021-02-25 |