| NPI | 1871806398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2010021791) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.028221) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2024-08-19 |