| NPI | 1760794325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 8218) |
| 225100000X Physical Therapist (Licence: GA PT009885) | |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2020-04-06 |