| NPI | 1548766108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.023484) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017339) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-07-26 |