| NPI | 1104180371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018671) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2021-03-28 |