| NPI | 1164022232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11862) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070.025351) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2023-06-13 |