| NPI | 1023765302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.026394) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1348891) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-03-07 |