| NPI | 1871849026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019232) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-8646) |
| 225100000X Physical Therapist (Licence: HI PT-5660-0) | |
| 225100000X Physical Therapist (Licence: AL PTH11199) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2023-03-10 |