| NPI | 1558683995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9289) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-017654) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2021-03-12 |