| NPI | 1427409168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019705) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070022186) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2021-04-14 |