| NPI | 1194013524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014150A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070.018471) |
| 225100000X Physical Therapist (Licence: IL 070.018471) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2021-05-18 |