| NPI | 1003370461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.028938) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.008222) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2025-03-24 |