| NPI | 1467114769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030965) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-025511) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-12-30 |