| NPI | 1669051454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.026827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11840) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2022-09-09 |