| NPI | 1508382649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36319) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.023215) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2024-11-06 |