| NPI | 1316470610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-022986) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041401) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-04-13 |