| NPI | 1740668128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.024104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209417) |
| 225100000X Physical Therapist (Licence: FL 31334) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-04-13 |