| NPI | 1982984886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.018084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 005358) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2021-04-30 |