| NPI | 1578877577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12087-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-017947) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WI 12087-24) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2022-03-30 |