| NPI | 1821671280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 070025636) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070025636) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |