| NPI | 1720660525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 14808-24) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |