| NPI | 1083209506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025817) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046579) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-10-27 |