| NPI | 1992390074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: IL 070.025829) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299336) |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-08-04 |