| NPI | 1063702041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070024951) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014518) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-06-30 |