| NPI | 1205565272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070027671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2022019515) |
| 225100000X Physical Therapist (Licence: MO 2022030876) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2026-02-04 |