| NPI | 1700287042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013816) |
| 225100000X Physical Therapist (Licence: NV 3033) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2024-02-15 |