| NPI | 1134493711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-025322) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 008154-1) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2024-10-10 |