| NPI | 1053857763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-026018) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32139) |
| 225100000X Physical Therapist (Licence: NY 035994) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2021-08-06 |