| NPI | 1568035798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 13005) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160008590) |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2021-07-24 |