| NPI | 1205976453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40347) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-012829) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-09-18 |