| NPI | 1295147247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.020620) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2024-05-06 |