| NPI | 1164075552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14602) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024731) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-08-30 |