| NPI | 1356747166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 105369) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-021100) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2021-10-05 |