| NPI | 1740533512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14566-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018602) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2019-08-14 |