| NPI | 1003640541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070029449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 052997) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-09-02 |