| NPI | 1528799863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.023773) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-09-30 |