| NPI | 1831215961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.015584) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-11-14 |