| NPI | 1114408473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0004229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023763) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2020-07-29 |