| NPI | 1316094055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1695) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070008709) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-09-23 |