| NPI | 1578803953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12283) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070021609) |
| 225100000X Physical Therapist (Licence: CO PTL.0013009) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2017-12-11 |