| NPI | 1093159519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215598) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-020166) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2023-05-09 |