| NPI | 1790157089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021743) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 05012821A) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2022-09-07 |