| NPI | 1922647866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2020004353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.026339) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2021-12-07 |