| NPI | 1043635808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.022637) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037441) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2024-12-10 |