| NPI | 1609355445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.024711) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IN 05013099A) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-10-03 |