| NPI | 1407965528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2002023325) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014064) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-07-01 |