| NPI | 1104485689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2020034322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024396) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-10-12 |