| NPI | 1063794063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004513) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017703) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2025-11-18 |