| NPI | 1174902225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.022777) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-01-08 |