| NPI | 1124316716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2012003235) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018553) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2025-04-21 |