| NPI | 1699025049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010886A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019357) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2022-08-02 |