| NPI | 1528801792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.025617) |
| 225100000X Physical Therapist (Licence: CT 12764) | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |