| NPI | 1184143729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25492) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070022954) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2021-12-20 |