| NPI | 1992213169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 128786) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023074) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2019-07-03 |