| NPI | 1093187262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 07-0008952) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2022-04-23 |