| NPI | 1114528130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070025523) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-10-29 |