| NPI | 1063999381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070024404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13345-24) |
| 225100000X Physical Therapist (Licence: NC P18981) | |
| 225100000X Physical Therapist (Licence: AZ LPT30150) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2019-10-23 |