| NPI | 1083474399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2024006187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.028853) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2025-02-06 |