| NPI | 1053283572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.029477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05016288A) |
| 225100000X Physical Therapist (Licence: CO PTL21269) | |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2026-05-28 |