| NPI | 1740398346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.021225) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-09-21 |