| NPI | 1194758995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2008028883) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014665) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-11-08 |