| NPI | 1003670746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070028966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 6487) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2025-02-27 |