| NPI | 1992475321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.026066) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-03-22 |