| NPI | 1427693068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024830) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2021-11-02 |