| NPI | 1174867907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.019564) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2019-09-03 |