| NPI | 1972938173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12394-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070021040) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2023-11-09 |