| NPI | 1053963918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025067) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013557A) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2021-12-09 |