| NPI | 1861949992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016026054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.020677) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |