| NPI | 1992392799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-025954) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25167) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-08-30 |