| NPI | 1811197635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016023460) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.014668) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2018-03-17 |