| NPI | 1720633076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025737) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019030169) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-06-29 |