| NPI | 1306973193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.013953) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT14767) |
| 225100000X Physical Therapist (Licence: GA PT005749) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-01-11 |