| NPI | 1457808396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-025696) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OK 1051) |
| 225100000X Physical Therapist (Licence: AR 852) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: AR 852) | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-05-26 |