| NPI | 1679093231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023137) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-10-17 |