| NPI | 1720638323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024797) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-03-16 |