| NPI | 1184370496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070026243) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WI 16243-24) | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2023-11-08 |