| NPI | 1891963948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11577-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.013362) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2021-12-13 |