| NPI | 1366961583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070025578) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042125) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2020-11-24 |