| NPI | 1902215338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15044) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-11-24 |