| NPI | 1174246490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.039718) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 302923) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2026-07-21 |