| NPI | 1225706203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070029599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047599) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2026-04-22 |