| NPI | 1255708079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11219) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.021529) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2020-09-24 |