| NPI | 1902324841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-024379) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13984-24) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2021-04-21 |