| NPI | 1578946489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25502) |
| 225100000X Physical Therapist (Licence: VA 2305209451) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-08-24 |