| NPI | 1679169007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16163) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ LPT-31514) |
| 225100000X Physical Therapist (Licence: IL 070.025479) | |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2023-05-25 |