| NPI | 1104013770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05001368A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.015963) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2022-05-09 |