| NPI | 1184000812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021549) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303296) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-09-10 |