| NPI | 1194339796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9994) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501304454) |
| 225100000X Physical Therapist (Licence: IL 070.039874) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2026-06-01 |