| NPI | 1184965063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.009131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 19256) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2024-10-15 |