| NPI | 1205434958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070025303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 15173-24) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2021-01-31 |