| NPI | 1306963954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.019008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05006553A) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-06-29 |