| NPI | 1780077123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2008013230) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2019-01-03 |