| NPI | 1740894633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-025231) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020028438) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2021-01-11 |