| NPI | 1104683051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.027819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT6729) |
| 225100000X Physical Therapist (Licence: CA 305707) | |
| 225100000X Physical Therapist (Licence: CO PTL.0019495) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |