| NPI | 1366869919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.020414) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2018-10-18 |